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++ 001522 U 819 Striker Ave , Suite • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> U 404 N Wiget Lane • t Creek, CA 94598 • {925) 988-9600 FAX (925) 988-9673 <br /> UNI U 1455 McDowell Blvd h, Suite D • Petaluma, CA 94954 • (707) 792 1865 FAX (707) 79 �1 42 <br /> U 1551 Industrial Road • San Carlos, CA 94070 • (650) 232-960000 FAX (650) 232-9612 <br /> Consulta+it Company G'e_-fpmlj4[ • - Project Name C- �/�'Address I�7y7 S;er1A Gt 0/7'e TOSCO Engineer (requirA)//c ,G,[ - - _- -_ - <br /> City v!12!_�_✓t __ Stat Zip Code Q'75�g q37 /"f/kef — <br /> Tr lephone FAX � � -7� 8 Site #, City, State 75-5 © I "7 <br /> Report To Sampler OC Data Level D (sianaard) U Level C U Level B U Level AMA <br /> U <br /> x <br /> Turnaround U 10 Work Days ,5 Work Days U 3 Work Days U Drinking Water Analyses Requested <br /> Time v 2 Work Days U 1 Work Ray U 2-$I loursU Waste Water \�y��� QP°ti`°°� QF�b°� <br /> CODE u Misc u Detect U Eval *erred U Demol U Closure LI Other boa o\ o foo o\v5 ��°o <br /> Client Date/Time Matrix # of Cont Sequoia's �P �0Y 14P�°�h �����a c, CommentsScruple I D Sampled Desc Cont Type Sample # �Q � � �2 �o tis , <br /> 1 yup I-ZZ L1OI-10 Z aA2 TI-2 - <br /> - -- <br /> 3 -- <br /> -- <br /> 4 <br /> 5 IUp 2-- <br /> 3 <br /> l3 0 z -6 - <br /> 8 <br /> -- - - �- o <br /> 1 D <br /> 10 cr <br /> "T Hi I++u1„+ ,h. �i Esy ,� Date �� funt� �U:'�$T Received By1 tI11�U1 <br /> i ! <br /> fi�luul,n�li�,l fayDate Bine Received By - - pate l uric <br /> i' lu lcµ,15l n Illy Date Time Received By Date - _- Iii+u, <br /> W, Ic 5,u,it,1u. it,,k-1vk tl in Gk)od Conliiion? u Yes U No Samples an ILO U Yes J No Method 01 shipment <br /> it) I,t, (0i4lluted upon receipt of report <br /> 1) Wt-ie tho analyses requested on the Chain of Custody reported? U Yes U No If no, what analyses are still needed? <br /> ItI issued within the requested turnaround bine? Ll Yes U No If no, what was the turnaround time? <br /> Af,lj,,,v�iI by _ Signature _ -- _ _ _ Company __- _ —Dat' __�__- <br />